» Articles » PMID: 30988109

Knee Sliced Open by Skate Blade: Complete Patellar Tendon Rupture in an Elite Long Track Speed Skater

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2019 Apr 17
PMID 30988109
Citations 1
Authors
Affiliations
Soon will be listed here.
Abstract

A long track speed skater sustained a deep horizontal cut to the right knee just distally to the patella, after he got hit by the skate blade of the pair mate. The injury included a complete patellar tendon rupture from the apex of the patella, a 1 mm deep transverse cut in the femoral condyle and a partial rupture of the anterior cruciate ligament. The tendon rupture was repaired with transosseous suture repair without augmentation. A knee brace was used for 8 weeks, with a gradual decrease in flexion restraints. A rehabilitation programme was overseen by a dedicated physiotherapist. At 6 months, he started a gradual return to skating sessions. After 1 year, he had symmetrical single-legged hop performance, but quadriceps weakness due to pain. The patient returned to competition speed skating at national levels after 11 months, and within the first postoperative year, he was breaking new personal records on the ice.

Citing Articles

Delayed diagnosis and treatment of a distal patellar tendon avulsion in an adolescent.

Allred G, Arevalo A, Brooks R, Greenhill D BMJ Case Rep. 2022; 15(2).

PMID: 35228250 PMC: 8886437. DOI: 10.1136/bcr-2021-248526.

References
1.
Shelbourne K, Darmelio M, Klootwyk T . Patellar tendon rupture repair using Dall-Miles cable. Am J Knee Surg. 2001; 14(1):17-20; discussion 20-1. View

2.
Engebretsen L, Steffen K, Alonso J, Aubry M, Dvorak J, Junge A . Sports injuries and illnesses during the Winter Olympic Games 2010. Br J Sports Med. 2010; 44(11):772-80. DOI: 10.1136/bjsm.2010.076992. View

3.
Kelly D, Carter V, Jobe F, Kerlan R . Patellar and quadriceps tendon ruptures--jumper's knee. Am J Sports Med. 1984; 12(5):375-80. DOI: 10.1177/036354658401200508. View

4.
Schliemann B, Gruneweller N, Yao D, Kosters C, Lenschow S, Rosslenbroich S . Biomechanical evaluation of different surgical techniques for treating patellar tendon ruptures. Int Orthop. 2015; 40(8):1717-1723. DOI: 10.1007/s00264-015-3003-4. View

5.
ENAD J, Loomis L . Primary patellar tendon repair and early mobilization: results in an active-duty population. J South Orthop Assoc. 2002; 10(1):17-23. View